Grundy-Bowers Matthew, Read Max
Imperial College Healthcare NHS Trust, London, England.
North East London NHS Foundation Trust, London, England.
Nurs Stand. 2019 Feb 3;35(2):29-34. doi: 10.7748/ns.2019.e11390. Epub 2019 May 21.
Evidence demonstrates that subconscious and intentional discrimination against lesbian, gay, bisexual, transgender, queer or questioning, and intersex (LGBTQI+) people continues to exist in the UK healthcare system. Surveys have indicated significant health inequalities in LGBTQI+ populations, including high rates of mental health issues and suboptimal healthcare experiences. This article explores these issues and encourages nurses to reflect on their unique and privileged position to champion the rights of vulnerable people, as well as their role in improving the healthcare experience of LGBTQI+ patients in the future. It also discusses safety issues and special considerations for LGBTQI+ patients, including those related to sexual health, mental health and intellectual disabilities.
有证据表明,英国医疗系统中针对女同性恋、男同性恋、双性恋、跨性别者、酷儿或疑问者以及双性人(LGBTQI+)的潜意识和蓄意歧视依然存在。调查显示,LGBTQI+人群存在显著的健康不平等现象,包括心理健康问题发生率高以及医疗体验不佳。本文探讨了这些问题,并鼓励护士反思自己在支持弱势群体权利方面独特且有优势的地位,以及他们未来在改善LGBTQI+患者医疗体验方面的作用。文章还讨论了LGBTQI+患者的安全问题和特殊考量,包括与性健康、心理健康和智力残疾相关的问题。